Permit a CITY OF TIGARD BUILDING PERMIT
111111 ' ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00205
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/22/2015
Parcel: 2S110AB00200
Jurisdiction: Tigard
Site address: 14355 SW PACIFIC HWY
Project: Uptown Dance Studio Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4
Project Description: Wall sign installation.
Contractor: OWNER Owner: BULL MOUNTAIN INVESTMENTS LLC
BULL MOUNTAIN INVESTMENTS LLC ATTN JERRY KOLVE
JERRY KOLVE 14389 SW PACIFIC HWY
14389 SW PACIFIC HWY TIGARD, OR 97224
TIGARD, OR 97224
PHONE: 503-620-8087 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 07/22/2015 $134.54
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 07/22/2015 $16.14
Dwelling Units: 0 Plan Review 07/09/2015 $87.45
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/22/2015 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $3,971
Floor Areas:
Total Area: 0
Accessory Struct. 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $241.13
Required: Required Items and Reports(Conditions)
Fire Sprinkler Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done i ordance wi• ..proved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. TENTION: Oregon la, requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 01-0010 through OAR 952-00, s••": You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23
sued By: j Jllt.2rt__APermittee Signature: .4, '
%
Call 503.639.4175 by 7:00 a.m.for the next available insp tion date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial
IN 1)Il (II. It I I tit ��N1 l
Ci}�, of Tigard Received
`J g Date/B : ' /j iF) Permit No.: :ti xi s-_ a,..'
• 13125 SW Hall Blvd.,Tigard,OR 9 Plan Reviev7Ir
Phone: 503-718-2439 Fax: 503-598-1960 7-015 Date/B : mow; Related Permit:
Inspection Line: 503-6394175 ` Date Ready-7: Juris: ® See Page 2 for
T 1�'A R U g g ��1� ,]r� Notifie /A et od: 7 �/� ' ? Sup lemental Information
Internet: www.ti ard or. ov '`A T`11 / p
f J
TYPE OF " • 1� t Y 5 t �/ REQ:Tf 1 13 -AND . 'AMILY DWELLING
❑New construction 11.nt olition Permit fees*are base on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ®Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
El Accessory building 12 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: \_43 55 .,,‘,J, p tt c. N New dwelling area: square feet
City/State/ZIP: .,j p c ' 0 ri �a4 Garage/carport area: square feet
Suite/bldg./apt.#: Q Project name: Covered porch area: square feet
Cross street/directions to job site: enuvicIA k A Deck area: square feet
"� Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot 4: Permit fees*are based on the value of the work performed.
- Indicate the value(rotnded to the nearest dollar)of all
Tax map/parcel#: S 1 I O 1p\e, 007.-O Cl equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 3t0A.11;"
191,,,lka - w y ■-,
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I 53 TENANT Number of stories:
Name: c3.9 Jl Y cum.,* ylak aW«-) ti,,1,-,C Type of construction:
Address: %‘A-3 5'5 u Part t✓ 4 W i--- x Occupancy groups:
City/State/ZIP: t IL/SC 0t t caa.4 Existing:
Phone:(503) 1 svp .38.A8 Fax:( ) New:
❑ APPLICANT is CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tofee.schedule)
Business name: ("y i„g R > d
I')—e' Structural plan review fee(or deposit):
Contact name: Q Ko x�t,•-•r�
ii FLS plan review fee(if applicable):
Address: e,4.3$q 1.• W. PaC41 c., Nw l u
Total fees due upon application: 7 445
City/State/ZIP:._t& Q t Oh_ c 2-'4---41--
��""' Amount received:
Phone:(50S) x,0.8 0$7 Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: J - ,� Submit two(2)sets of roof plan with connection details
di /y)40., (� T.ixtu-k, , S of.e') and fire department access,along with the 2010 Oregon
Address: /// Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees): _
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: e ) Total fee due upon appication: $201.60
Authorized signature: ']���t� '9Ale. This permit application expires if a permit is not obtained
i within 180 days after it has been accepted as complete.
Print name: G-e -as 1 b KQ\v Date: 7-q - 15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
A
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Accessibility: Barrier Removal Improvement Plan
_
Commercial & Multi-Family - Additions or Alterations
T I G A IZ D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PerrnitApp.doc Rev.12/18/2014